Medical Billing Consulting Service by WeCare
Professional assistance to solve difficult billing problems, create a smooth day-to-day workflow, and stabilize the finances of your practice.
We realize that frequent changes to the requirements of payers and inefficient billing systems create undue stress for medical practitioners.
Therefore, the WeCare team works with you to be an extension of your practice. We provide actionable data insights and RCM solutions customized to your needs.
As featured in:
Transform Your Revenue Cycle: 3 Ways WeCare
Drives Practice Growth
At WeCare, we find the source of your billing problem and then implement solutions to increase your clean claim ratio so you get paid faster and minimize delays due to denied claims.
Stop Revenue Leakage & Maximize Collections
We identify areas where there may have been lost revenue, adjust your coding, and decrease days in A/R so that you collect all the money due your practice.
Eliminate Bottlenecks & Empower Your Staff
We reduce your staff’s time spent on administrative tasks and allow them to concentrate on delivering great care to patients when we simplify day-to-day workflow and eliminate chronic patterns of denied claims.
Actionable Analytics & Bulletproof Compliance
With custom dashboards, we give you complete clarity over your financials while ensuring that our oversight guarantees that your practice is always compliant with changing payer rules and coding standards.
Our Medical Billing Consulting Services
We examine inefficiencies in your Revenue Cycle Operations to maximize profitability and ensure compliance, and we help you create smoother, more effective day-to-day workflows.
Revenue Cycle Assessment
We do a thorough assessment of your billing operations, examine your current workflow processes to determine how well your practice is performing financially, and establish a baseline for improving your financial performance.
Billing Process Optimization
We make targeted enhancements to your front-end workflow processes and modify your claims processing methods to increase the efficiency of payment postings and speed up your revenue cycle.
Denial Management Consulting
By using detailed analyses of the causes of denials, we develop proactive plans to avoid future denials and dramatically improve your appeal process to recover lost funds and keep claims from being repeatedly rejected.
Medical Coding and Documentation Review
We assess the coding accuracy of your practice and provide you with practical recommendations for enhancing the documentation of your charges, as well as provide you with dedicated compliance assistance to protect against reimbursement reductions or audits.
Accounts Receivable (AR) Consulting
Through extensive analysis of the age of accounts receivable (A/R), we develop systematic recovery methodologies for clearing A/R backlogs and increasing cash flow for your practice.
Practice Performance Analysis
We compare your performance to established benchmarks for the industry and perform a comprehensive evaluation of the financial performance of your practice to discover additional opportunities for revenue growth that you may capitalize on, and prepare your practice for long-term growth
Staff Training and Process Development
We educate your billing personnel on targeted topics related to billing; we enforce standardization across all aspects of workflow; and we oversee the implementation of best practices for managing a perfect revenue cycle so that your in-house staff will feel confident managing an error-free revenue cycle.
Provider Credentialing & Contracting
We assist you in navigating the complexities associated with obtaining approval from multiple payers and evaluating your current fee schedules to help you negotiate contracts to achieve maximum reimbursement levels for services provided by your physicians who are panel-ready and properly credentialed.
How It Works
Our Proven Medical Billing Consulting Process
A simple, step-by-step plan to transform your revenue cycle and ensure sustainable financial health for your practice.
Discovery & Comprehensive Audit
We perform an in-depth examination of your billing data, current workflows, and aged A/R to establish a baseline measure for determining the root causes of revenue loss/leakage.
Strategic Roadmap Development
After completing this examination, we provide you with a detailed report outlining our findings and provide a customized action plan designed to address denial prevention, coding compliance, and workflow optimization based on your financial objectives.
Implementation & Team Training
When implementing new Standard Operating Procedures (SOP’s) and educating employees on coding updates and best practices, we try to minimize disruptions to patient care during this transition period.
Performance Monitoring & Optimization
As part of this service offering, we will continue to monitor progress via custom-built dashboard reporting, scheduled KPI reviews, ongoing compliance support, and continuing refinement of workflows to ensure continued financial growth and operational excellence for your organization.
Boost Your Collections with WeCare
Identify and eliminate hidden billing inefficiencies that reduce your practice’s revenue.
Common Revenue Cycle Bottlenecks We Eliminate
Don’t let internal friction reduce profitability. Below are some of the most common billing challenges that we resolve for our clients.
High Claim Denial Rates
Before submitting claims, we use proactive front-end scrubbing techniques and detailed root-cause analysis to address denial patterns and rescue your lost revenue.
Sluggish Cash Flow & Aging A/R
We deploy structured A/R recovery approaches that systematically remove 90+ day backlogs and aggressively pursue older claims to expedite receipt of future payments.
Coding Errors & Compliance Risks
We also provide educational training for staff members to ensure accurate, compliant charge capture that maximizes revenue potential while minimizing the risk of audits.
Front-End Verification Failures
To ensure accurate data collection from the initial patient visit forward, we standardize your patient intake protocols and streamline eligibility verifications.
Administrative Burnout & Staff Turnover
Simplifying your daily workflow processes and resolving complex payer-related issues allows you to minimize operational friction so that your entire staff can focus exclusively on delivering superior patient care.
Credentialing & Enrollment Delays
Proactive credentialing management enables us to successfully facilitate multi-payer enrollments, thus avoiding costly penalties associated with out-of-network payments and maintaining full panel status for your providers.
Are high claim denials and an aging A/R draining your practice's profitability?
Working through complicated payer rules, constant coding mistakes, and front-end verification failures is frustrating; however, the true cost to your practice is the amount of money these inefficiencies are wasting.
When your workflows are not in alignment, your employees will be spending their valuable time battling with the payers, rather than supporting the patient. The unpredictability of the cash flow for your hard-earned dollars and keeping your profit margin as low as possible are what we want to help you resolve.
WeCare wants to help you take back control. We have professional consultants who can assess all of your operational roadblocks and leaks of revenue, then develop an effective and customized revenue cycle engine. It is time to protect your financial well-being and free your employees from billing troubles.
Why Healthcare Practices Trust Us?
We do not simply provide generic billing counsel; we provide strategic partnerships and professional oversight to guarantee the financial stability of your practice.
Deep Industry Expertise
We always keep you up-to-date with changing CPT, ICD-10, and Payer Guidelines so your healthcare practice is always compliant and protected from expensive audits.
Data-Driven Solutions
Our analytics are deeper than simply reporting and can be used to identify why you have lost money due to denied claims and how to avoid future recurring denial problems.
Tailored RCM Strategies
We believe in custom billing workflows that are designed specifically for your Medical Specialty, Software, and long-term financial objectives.
Strategic Credentialing
We understand complex jurisdictional rules, which allows us to assist you in obtaining the correct credentialing and payer contracting at the right time, resulting in higher reimbursement rates.
Dedicated Partnership
We work as an extension of your team by providing you with transparent dashboards of your finances; ongoing training to your staff, reliable support, all to help ensure your financial success.
Who We Serve
WeCare provides specialized medical billing consulting to a broad spectrum of healthcare organizations
Which include:
- Solo & Private Practices
- Group Practices
- Multi-Specialty Clinics
- Urgent Care Centers
- Ambulatory Surgery Centers (ASCs)
- Behavioral Health Centers
- Physical Therapy & Rehabilitation Centers
- Telehealth Providers
- Hospitals & Health Systems
Turn Your Revenue Cycle Into a Reliable Cash Flow Engine
Our experts analyze your billing, fix denial patterns, and optimize workflows to improve collections and reduce delays.
What They’re Talking About Us?
Frequently Asked Questions
Questions? We’ve got you covered
Outsourcing refers to when you hire another company to handle your daily billing functions. Consulting refers to when we review your current in-house operations, identify areas where you may be losing revenue, and provide strategies, workflows, and training for your staff so they can maximize their performance.
It will depend on the number of employees in your office, the volume of claims being submitted, and the complexity of your current systems. After the review process is complete, we will provide you with a clear, actionable roadmap.
No, all WeCare employees are trained to be proficient in multiple electronic health records (EHR) and/or practice management (PM) systems. We are focused on helping to improve the productivity and efficiency of the EHR/PM system you currently utilize.
Yes. As part of their initial analysis, we analyze each of the large (typically 90+) days past due accounts receivable buckets. They we determine why those payments were delayed and develop a methodical strategy to recover lost revenue through better staffing practices.
Yes. In addition to performing a single-time audit, many practices opt for our long-term advisory service. Through this service, we continue to monitor your business’s performance monthly through key performance indicators (KPIs) and provide ongoing employee education about coding changes to keep your business growing financially.
As every organization has different problems from another, there can not be a one-size-fits-all pricing structure. WeCare uses a customized price structure that is based upon the scope of the work required to address your specific needs, i.e., total Revenue Cycle Management (RCM) overhaul, targeted denial management, credentialing Support, etc.
Time for a Second Opinion on Your Revenue Cycle?
No setup fees. No risk. Just results.